Individual provider Active NPI

Jacqueline Marie Sennott

  • Cardiovascular Disease Physician
  • Pawley's Island, SC
National Provider Identifier
1629411707
Registry record updated Nov 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
83713 Issued in SC
Practice address
9653 Ocean Hwy
Pawleys Island, SC 29585-7425
Phone
(843) 235-3131
Fax
(843) 237-9797
NPI assigned
Apr 9, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 5101020733 MI
Cardiovascular Disease Physician 207RC0000X 83713 SC Primary
Internal Medicine Physician 207R00000X 5101020733 MI

Addresses

Primary practice location

9653 Ocean Hwy
Pawleys Island, SC 29585-7425

Mailing address

PO Box 421718
Georgetown, SC 29442-4203
Phone (843) 527-7000

Other practice location 1

4040 Highway 17 Unit 202
Murrells Inlet, SC 29576-5098
Phone (843) 235-3131

Other practice location 2

456 N Main St
Hemingway, SC 29554-9190
Phone (843) 235-3131

Other practice location 3

1014 Huger Dr
Georgetown, SC 29440-3322
Phone (843) 235-3131

Other practice location 4

606 Black River Rd
Georgetown, SC 29440-3304
Phone (843) 527-7000

Other practice location 5

4070 Highway 17
Murrells Inlet, SC 29576-5033
Phone (843) 652-1000

Other practice location 6

1 William Carls Dr
Commerce Twp, MI 48382-2201
Phone (623) 810-5502

Other practice location 7

701 S Morgan Ave
Andrews, SC 29510-2959
Phone (843) 235-3131

Other practice location 8

2200 Crow Ln Ste 303A
Myrtle Beach, SC 29577-1663
Phone (843) 848-5310

Electronic endpoints 8

TypeEndpointUseAffiliation
Direct Messaging Address jsennott378896@direct.musc.edu Direct Georgetown Physician Associates, LLC
Direct Messaging Address jsennott378896@direct.musc.edu Direct Georgetown Physician Associates, LLC
Direct Messaging Address jsennott378896@direct.musc.edu Direct Georgetown Physician Associates, LLC
Direct Messaging Address jsennott378896@direct.musc.edu Direct Georgetown Physician Associates, LLC
Direct Messaging Address jsennott378896@direct.musc.edu Direct Georgetown Physician Associates, LLC
Direct Messaging Address jsennott378896@direct.musc.edu Direct Georgetown Memorial Hospital
Direct Messaging Address jsennott378896@direct.musc.edu Direct Waccamaw Community Hospital
Direct Messaging Address jsennott378896@direct.musc.edu Direct Georgetown Physician Associates, LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210913000602 SC Practitioner - Cardiovascular Disease (Cardiology) 3173744018 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Mid West Medical College, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Waccamaw Community HospitalGroup PAC ID 9133036932, 65 clinicians
Georgetown Memorial HospitalGroup PAC ID 8224942123, 90 clinicians

Practice addresses (Care Compare)

4070 Hwy 17
Murrells Inlet, SC 29576-5033
Phone (843) 652-1000

606 Black River Rd
Georgetown, SC 29440-3304
Phone (843) 527-7000

9653 Ocean Hwy
Pawleys Island, SC 29585-7425
Phone (843) 235-3131

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
5101020733MIMDInternal Medicine Physician
83713SCMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Georgetown Memorial Hospital CurrentSince Aug 30, 2021 Accepting new patients
Waccamaw Community Hospital CurrentSince Aug 30, 2021 Accepting new patients
Georgetown Physician Associates, LLC Cardiovascular Disease CurrentSince Aug 30, 2021 Accepting new patients
Georgetown Physician Associates LLC Internal Medicine CurrentSince Aug 30, 2021 Accepting new patients
Georgetown Physician Associates, LLC Current Accepting new patients
Tidelands Health Market Common LLC CurrentSince Sep 13, 2021 Accepting new patients
Georgetown Memorial Hospital CurrentSince Aug 30, 2021 Accepting new patients
Georgetown Physician Services, LLC Past Accepting new patients

Locations

701 S Morgan Ave
Andrews, SC 29510
Phone (843) 264-5253

606 Black River Rd
Georgetown, SC 29440
Phone (843) 527-7000

1014 Huger Dr
Georgetown, SC 29440
Phone (843) 652-8390

456 N Main St
Hemingway, SC 29554
Phone (843) 558-9319

4040 Highway 17
Unit 202
Murrells Inlet, SC 29576
Phone (843) 652-8390

2347 S Highway 17
Murrells Inlet, SC 29576
Phone (843) 357-2443

4070 Highway 17
Murrells Inlt, SC 29576
Phone (843) 357-5100

2200 Crow Ln
Ste 303A
Myrtle Beach, SC 29577
Phone (843) 848-5310

9653 Ocean Hwy
Pawleys Island, SC 29585

12117 Ocean Hwy
Pawleys Island, SC 29585
Phone (843) 237-8231

Interoperability endpoints

  • Direct secure messaging: jsennott607386@direct.hfhs.org
  • Direct secure messaging: jsennott@direct.dmc.org
  • Direct secure messaging: jsennott378896@direct.musc.edu

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
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    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762732800000",
    "number": "1629411707",
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            "city": "GEORGETOWN",
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            "postal_code": "294424203",
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        },
        {
            "country_code": "US",
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            "address_purpose": "LOCATION",
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            "fax_number": "843-237-9797"
        }
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    "practiceLocations": [
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        },
        {
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        {
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            "country_code": "US",
            "telephone_number": "843-652-1000",
            "fax_number": "843-520-8403",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 William Carls Dr",
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            "city": "Commerce Twp",
            "state": "MI",
            "postal_code": "483822201",
            "country_code": "US",
            "telephone_number": "623-810-5502",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "701 S Morgan Ave",
            "address_purpose": "LOCATION",
            "city": "Andrews",
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            "postal_code": "295102959",
            "country_code": "US",
            "telephone_number": "843-235-3131",
            "fax_number": "843-237-9797",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2200 Crow Ln Ste 303A",
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            "city": "Myrtle Beach",
            "state": "SC",
            "postal_code": "295771663",
            "country_code": "US",
            "telephone_number": "843-848-5310",
            "fax_number": "843-237-9797",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SENNOTT",
        "first_name": "JACQUELINE",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-09",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "5101020733",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "SC",
            "license": "83713",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "5101020733",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jsennott378896@direct.musc.edu",
            "affiliation": "Y",
            "endpointDescription": "Direct Messaging",
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            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
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            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
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            "affiliation": "Y",
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            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jsennott378896@direct.musc.edu",
            "affiliation": "Y",
            "endpointDescription": "Direct Messaging",
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            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jsennott378896@direct.musc.edu",
            "affiliation": "Y",
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            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jsennott378896@direct.musc.edu",
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            "contentTypeDescription": "CSV",
            "address_1": "2200 Crow Ln Ste 303A",
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            "country_code": "US",
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            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jsennott378896@direct.musc.edu",
            "affiliation": "Y",
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            "affiliationName": "Georgetown Memorial Hospital",
            "use": "DIRECT",
            "useDescription": "Direct",
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            "city": "Georgetown",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294403304",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jsennott378896@direct.musc.edu",
            "affiliation": "Y",
            "endpointDescription": "Direct Messaging Address",
            "affiliationName": "Waccamaw Community Hospital",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4070 Highway 17 Bypass",
            "city": "Murrells Inlet",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295765033",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jsennott378896@direct.musc.edu",
            "affiliation": "Y",
            "endpointDescription": "Direct Messaging Address",
            "affiliationName": "Georgetown Physician Associates, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9653 Ocean Hwy",
            "city": "Pawleys Island",
            "state": "SC",
            "country_code": "US",
            "postal_code": "29585",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pawley's Island, SC

Sources for this page

Verify at the official NPI Registry.